Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.36 / $596.01 / $676.66	Professional		$512.36	$596.01	$676.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $103.31 / $127.02	Professional	26	$91.25	$103.31	$127.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $421.11 / $492.70 / $552.34	Professional	TC	$421.11	$492.70	$552.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $147.33 / $147.33 / $147.33	Facility	26	$147.33	$147.33	$147.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $1,599.00 / $1,685.63	Professional		$634.37	$1,599.00	$1,685.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $129.50 / $152.66 / $434.76	Professional	26	$129.50	$152.66	$434.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $517.82 / $517.82 / $610.38	Professional	TC	$517.82	$517.82	$610.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $771.37 / $1,685.63	Professional		$514.91	$771.37	$1,685.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.63 / $153.88 / $434.76	Professional	26	$133.63	$153.88	$434.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $373.92 / $425.89 / $1,149.08	Professional	TC	$373.92	$425.89	$1,149.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $771.37 / $1,685.63	Professional		$514.91	$771.37	$1,685.63
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $140.99 / $153.88 / $434.76	Professional	26	$140.99	$153.88	$434.76
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $373.92 / $425.89 / $681.61	Professional	TC	$373.92	$425.89	$681.61
United Facility/Professional Professional Modifier Low / Median / High Price $452.56 / $850.00 / $1,793.07	Professional		$452.56	$850.00	$1,793.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.14 / $154.63 / $414.19	Professional	26	$107.14	$154.63	$414.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $299.54 / $683.16 / $1,330.60	Professional	TC	$299.54	$683.16	$1,330.60